Sugiyama Naoki, Suzuki Yuichiro, Okamoto Akiko, Yamamoto Hayato, Kudo Shigemasa, Hatakeyama Shingo, Yoneyama Takahiro, Hashimoto Yasuhiro, Koie Takuya, Kamimura Noritaka, Ohyama Chikara
The Department of Urology, Hirosaki University Graduate School of Medicine, Japan.
Hinyokika Kiyo. 2010 Oct;56(10):565-7.
A 64-year-old female patient had been receiving hemodialysis since June 2008. A left adrenal mass, 2.5 cm in diameter, was incidentally found by screening computed tomography at the initiation of hemodialysis. Plasma epinephrine and norepinephrine were increased to 1.21 ng/ml and 4.71 ng/ml, respectively. In the scintiscan using ¹²³I-metaiodobenzylguanidine (MIBG), accumulation of the radionuclide in the left adrenal tumor region was confirmed. Laparoscopic left adrenalectomy was performed without peri-operative complications under the diagnosis of left pheochromocytoma. The elevated catecholamines and the blood pressure were restored after surgery.
一名64岁女性患者自2008年6月起接受血液透析。在开始血液透析时，通过筛查计算机断层扫描偶然发现左肾上腺有一个直径2.5厘米的肿块。血浆肾上腺素和去甲肾上腺素分别升至1.21纳克/毫升和4.71纳克/毫升。在使用¹²³I-间碘苄胍（MIBG）的闪烁扫描中，证实放射性核素在左肾上腺肿瘤区域有积聚。在诊断为左嗜铬细胞瘤的情况下，进行了腹腔镜左肾上腺切除术，术中无并发症。术后升高的儿茶酚胺和血压恢复正常。
